PATHWAY TO WELLNESS COMMUNITY CLINIC SC
NPI 1528413739
Social Worker - Clinical in Prairie Du Sac, WI

Active since April 26, 2016
560 4TH ST, PRAIRIE DU SAC, WI 53578(608) 370-8131(608) 643-5014 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pathway To Wellness Community Clinic Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATHWAY TO WELLNESS COMMUNITY CLINIC SC (NPI 1528413739) is a healthcare organization registered as a clinical in Prairie Du Sac, Wisconsin and active in the NPI registry since April 2016. The organization lists Tammy M Kirch, Owner, as its authorized official.

NPPES Registry Identity

NPI1528413739
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NamePATHWAY TO WELLNESS COMMUNITY CLINIC SC
Location Address560 4TH STPrairie Du Sac, WI 53578-1136
Mailing Address560 4th StPrairie Du Sac, WI 53578-1136 · (608) 643-3663 · Fax (608) 370-8177
Fax(608) 643-5014
Organization SubpartNo
Authorized OfficialTammy M KirchOwner · (608) 643-3663
Enumeration DateApril 26, 2016
Last NPPES UpdateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1528413739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedPsychologistTaxonomy 103T00000X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
560 4TH ST, Prairie Du Sac, WI 53578

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pathway To Wellness Community Clinic Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Pathway To Wellness Community Clinic Sc, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Clinical Psychologist
NPI 1629035324
560 4TH ST PATHWAY CLINIC SC
Prairie Du Sac, WI 53578
(608) 643-3663
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1235852831
560 4TH ST
Prairie Du Sac, WI 53578
(608) 643-3663
✔ PECOSSame address
Mental Health Counselor
NPI 1366841892
560 4TH ST
Prairie Du Sac, WI 53578
(608) 643-3663
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1427255678
560 4TH ST
Prairie Du Sac, WI 53578
(608) 643-3663
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1154353894
560 4TH SREET
Prairie Du Sac, WI 53578
(608) 643-3663
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1902390768
260 26TH ST
Prairie Du Sac, WI 53578
(608) 643-7587
✔ PECOS✔ Accepts Medicare1.5 mi
Clinical Social Worker
NPI 1285198648
727 8TH ST
Baraboo, WI 53913
(608) 355-4103
✔ PECOS✔ Accepts Medicare13 mi
Marriage and Family Therapist
NPI 1609313600
2100 N SEPULVEDA BLVD STE 32
Manhattan Beach, CA 90266
(608) 434-1642
✔ PECOS✔ Accepts Medicare1,672 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pathway To Wellness Community Clinic Sc's NPI number?

The NPI number for Pathway To Wellness Community Clinic Sc is 1528413739. It was assigned to this organization in the NPPES registry on April 26, 2016.

Where is Pathway To Wellness Community Clinic Sc located?

Pathway To Wellness Community Clinic Sc is located at 560 4th St, Prairie Du Sac, WI 53578. The listed phone number is (608) 370-8131.

What is Pathway To Wellness Community Clinic Sc's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Pathway To Wellness Community Clinic Sc enrolled in Medicare?

Yes. Pathway To Wellness Community Clinic Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pathway To Wellness Community Clinic Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Pathway To Wellness Community Clinic Sc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Clinical Social Worker (4), Clinical Psychologist (2) and Marriage and Family Therapist (1). Of these, 5 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pathway To Wellness Community Clinic Sc accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Quartz list Pathway To Wellness Community Clinic Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pathway To Wellness Community Clinic Sc was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.